Component for medical circuit

ABSTRACT

A medical tube has a tube wall defining a passageway for transportation of gases and further has a first end and a second end. At least one end of the medical tube comprises one or more of a pre-formed pneumatic port component, a pre-formed electrical port component, and a pre-formed sensor port component. A cuff is over-moulded about and thereby connects the pneumatic port component, the electrical port component, and/or the sensor port component and at least a portion of the tube end.

BACKGROUND Field of the Invention

The present invention relates to components for medical circuits. In oneparticular aspect, the invention relates to breathing tubes for use inthe inspiratory and/or expiratory limb of a breathing circuit, includingheated breathing tubes. In another aspect the invention relates to atube component for a surgical insufflation system, including a heatedinsufflator tubes.

Description of the Related Art

In medical applications, such as with assisted breathing, the gasesinhaled by a patient preferably are delivered in a condition havinghumidity near saturation level and at close to body temperature (e.g.,usually at a temperature between 33° C. and 37° C.). In facilitatingdelivery of gases to a patient in such preferred conditions, breathingtubes (or medical tubes) may be used that include heaters. However, somesystems may not necessarily require heaters.

Condensation or rain-out can form on the inside surfaces of thebreathing tubes as the high humidity breathing gases cool and/or comeinto contact with the relatively cooler breathing tube surface.Breathing gases exhaled by a patient are usually returned fullysaturated and flow through an expiratory breathing tube. If the expiredgas is allowed to cool as it passes along an expiratory breathing tube,condensation or rain-out may also occur.

Similarly, Continuous Positive Airway Pressure (CPAP) systems orpositive pressure ventilation systems that provide patients sufferingfrom obstructive sleep apnoea (OSA) with positive pressure breathinggases also use breathing tubes for delivering (or removing) inspiratory(and/or expiratory) gases.

Condensate forming in a breathing tube (either inspiratory orexpiratory) can be breathed or inhaled by a patient and may lead tocoughing fits or other discomfort. Condensation within a breathing tubemay also interfere with the performance of connected equipment andancillary devices and/or various sensors.

Attempts have been made to reduce the adverse effects of condensation byeither reducing the level of condensation or providing collection pointsfor draining condensed liquid from the tubing component. Reducing thecondensation or rain-out has generally been attempted by maintaining orelevating the temperature above the dew point temperature of thebreathing gas to reduce the formation of condensation. This temperatureis typically maintained by a heater wire within the breathing tube,although the rain-out performance of these breathing tubes may not becomplete due to a number of factors. Further, previous methods ofheating the gases flow to reduce rain-out, typically result in heatedtubing that has been expensive and/or difficult to manufacture.Particularly, in ‘single use’ applications such as typically found inhospital applications, the manufacturing cost of breathing tubes isimportant. It is highly desirable to even further reduce rainout, whilepreferably maintaining a low production cost, for example, by utilisinga manufacturing method that is capable of high production speeds.

Similarly, during laparoscopic surgery with insufflation, it may also bedesirable for the insufflation gas (commonly CO2) to be humidifiedbefore being passed into the abdominal cavity. This can help prevent‘drying out’ of the patient's internal organs, and can decrease theamount of time needed for recovery from surgery. Even when dryinsufflation gas is employed, the gas can become saturated as it picksup moisture from the patient's body cavity. The moisture in the gasestends to condense out onto the walls of the medical tubing or dischargelimb of the insufflation system. The water vapour can also condense onother components of the insufflation system, such as filters forexample. Any vapour condensing on the filter and run-off along the limbs(inlet or exhaust) from moisture is highly undesirable. For example,water that has condensed on the walls can saturate the filter and causeit to become blocked. The blockage potentially causes an increase inback pressure and hinders the ability of the system to clear smoke.Further, liquid water in the limbs can run into other connectedequipment, which is undesirable.

However, despite systems utilised for minimising condensation orrain-out, many such breathing tubes or conduit are provided as singleuse products. That is, they are used for a specified (limited) period oftime or with a single (or individual) patient or person receiving care.Such single use is recommended for hygiene and sterility purposes. Thatmay be because, generally, such tubes are provided in an un-usedcondition and with a high initial level of sterility. Once such tubesare used for the specified (e.g., limited) period of time, or thetreatment or care of an individual patient or person receiving care hasended, the tube is disposed. However, not all markets are able to affordthe cost associated with single use products. It would, therefore, beadvantageous to be able to provide an alternative conduit for suchmedical circuits to be of a configuration enabling reuse. There areeconomic and practical considerations associated with reusable conduits.

In respect of reusable conduits for breathing applications, it would beadvantageous to provide associated conduit components that are capableof reuse or that go at least some way towards enabling a reusecapability of the conduit.

In this specification, where reference has been made to patentspecifications, other external documents, or other sources ofinformation, this is generally for the purpose of providing a contextfor discussing the features of the invention. Unless specifically statedotherwise, reference to such external documents is not to be construedas an admission that such documents, or such sources of information, inany jurisdiction, are prior art, or form part of the common generalknowledge in the art.

Further aspects and advantages of the present invention will becomeapparent from the ensuing description, which is given by way of exampleonly.

SUMMARY

It is an object of the present invention to provide a conduit and/ormethod of manufacturing a conduit that will at least go some way towardsimproving on the above or which will at least provide the public or themedical profession with a useful choice.

According to a first aspect of the invention, there is provided amedical tube comprising:

a tube wall defining a passageway for transportation of gas, and havinga first end and a second end (such as, for example, a machine end and apatient end), the passageway providing for fluid communication betweenthe ends,

wherein at least one end of the medical tube comprises:

a cuff over-moulded about and attaching of one or more first pre-formedcomponent(s), one or more second pre-formed component(s), and at least aportion of the at least one tube end,

such that in use, the first pre-formed component or components is influid communication with the passageway, the, or each, first pre-formedcomponent configured for fluid connection with a further component(s) ofa breathing circuit, and the second pre-formed component or componentsis receivable of an auxiliary medical tube appliance.

Preferably the first pre-formed component comprises a pneumatic port,the pneumatic port providing for pneumatic connection with the at leastone end of the passageway

Preferably the pneumatic port is substantially axially aligned with thepassageway.

Preferably the pneumatic port is substantially aligned with thepassageway such that pneumatic connection between the port and thepassageway is provided.

Preferably the pneumatic port is a tubular body having a longitudinalaxis, such as a substantially cylindrical housing.

Preferably the at least one second pre-formed component is attachable toat least a part or parts of the at least one tube end.

Preferably the second pre-formed component comprises one or morelocators extending from the component for attachment to at least a partor parts of the tube end.

Preferably the locator(s) is attachable to a section or sections of awall forming the passageway or the at least one end of the tube.

Preferably the locator(s) is/are a clip or clips.

Preferably the at least one second pre-formed component comprises aport, the port receivable of the auxiliary appliance.

Preferably the auxiliary appliance is a sensor for sensing one or morecharacteristics of gas in the passageway.

Preferably the at least one second pre-formed component comprises asensor port, the sensor port receivable of a sensor for sensing one ormore characteristics of gas in the passageway.

Preferably the sensor port is arranged such that a sensor located by thesensor port is positioned to be in fluid communication with thepassageway and substantially perpendicular to flow of gas in thepassageway.

Preferably the sensor receivable by the port senses one or more of gastemperature, relative humidity, gas velocity (or flow rate) of gas inthe passageway.

Preferably the sensor senses relative humidity.

Preferably where the second pre-formed component comprises a sensorport, the sensor is fluidly connected to or in fluid connection with thepassageway.

Preferably the auxiliary appliance is an electrical supply for anelectrically powered heater or heaters associated with the passageway ofthe tube.

Preferably the at least one second pre-formed component comprises is anelectrical port, the electrical port receivable of electrical connectorfor providing an electrical supply to one or more electrically poweredheater or heaters associated with the passageway.

Preferably where the second pre-formed component comprises an electricalport, the electrical port is fluidly sealed from communication with thepassageway.

Preferably the second pre-formed component is a body comprising at leastone locator for attachment to at least a section of a wall forming thepassageway or the at least one end of the tube.

Preferably the at least one locator comprises electrical connector(s)for electrically coupling the electrical connector with the one or moreelectrically powered heater or heaters associated with the passageway.

Preferably the electrical port is configured for providing an electricalconnection to the heater or heaters.

Preferably the heater or heaters is/are located substantially within thepassageway, or substantially within a wall of the passageway, orsubstantially about an exterior surface of the passageway.

Preferably the heater or heaters is/are located substantially about anexterior surface of the passageway.

Preferably the heater or heaters is/are a heater source for gas passingthrough the passageway.

Preferably the heater or heaters is/are one or more heater wires.

Preferably the over-moulded cuff forms a pneumatic seal about the atleast one tube end and between the first pre-formed component(s) and thesecond pre-formed component(s), whilst maintaining fluid connectionbetween the first pre-formed component(s) and the at least one end ofthe tube and passageway therein.

Preferably the cuff is formed from, or by, a single over-mouldingprocedure.

Preferably the cuff is directly attached during an over-mouldingoperation to an exterior surface of the at least one end of the tube.

Preferably the cuff is directly attached to the first pre-formedcomponent(s) and the second pre-formed component(s) during theover-moulding operation.

Preferably there is no intermediate layer or protective collar ormaterial is positioned between the over-moulded cuff and an exteriorwall of the passageway, such as for preventing direct contact betweenthe over-moulded cuff and the exterior wall of the passageway.

Preferably the cuff is formed by a single-step over-moulding operation.

Preferably the cuff is formed of a material having a lower relativemelting point than that of the first and second pre-formed component(s),and material forming a wall of the passageway.

Preferably the cuff is formed of a material relatively more pliable thanthat of the first pre-formed component(s) and/or second pre-formedcomponent(s).

Preferably the second pre-formed component is located longitudinallyintermediate of the at least one end of the tube and the firstpre-formed component.

Preferably the first pre-formed component is substantially axiallyaligned with the tube passageway, and/or the first pre-formed componentis substantially aligned with the tube passageway such that pneumaticconnection between the first pre-formed component and the passageway isprovided.

Preferably the first pre-formed component comprises a sensor port and anelectrical port as single pre-moulded component.

Preferably the interior of the passageway is of a smooth linear surface.

Preferably the interior of the passageway is devoid of corrugations,convolutions or undulations.

Preferably the tube wall is of a corrugated form.

Preferably the interior surface of the passageway is mechanically and/orchemically cleanable, and/or surfaces in contact with the gas ismechanically and/or chemically cleanable.

Preferably the tube is a reusable medical tube.

According to a second aspect of the invention, there is provided amedical tube comprising:

a tube wall defining a passageway for transportation of gas, and havinga first end and a second end (such as, for example, a machine end and apatient end), the passageway providing for fluid communication betweenthe ends,

wherein at least one end of the medical tube comprises:

a pre-formed pneumatic port component in fluid communication with thepassageway, the component configured for fluid connection with a furthercomponent(s) of a breathing circuit,

a pre-formed sensor port component receivable of a sensor for sensingone or more characteristics of gas in the passageway, and

a cuff over-moulded about and connecting of the pneumatic portcomponent, sensor port component and at least a portion of the tube end.

Preferably the sensor port component is arranged such that a sensorlocated by the sensor port component is in fluid communication with thepassageway and positioned to be substantially perpendicular to flow ofgas in the passageway.

Preferably a sensor receivable by the sensor port component is sensingof one or more of gas temperature, relative humidity, gas velocity (orflow rate).

Preferably the sensor is fluidly connected to or in fluid connectionwith the passageway.

Preferably the pre-formed sensor port component comprises at least onelocator for attachment to at least a section of a wall forming thepassageway or the at least one end of the tube.

Preferably the at least one tube end further comprises a pre-formedelectrical port component receivable of an electrical connection forproviding an electrical circuit or pathway to one or more electricalappliances associated with the passageway, the cuff being additionallyover-moulded of the pre-formed electrical port component.

Preferably the electrical appliance is at least one electrically poweredheater associated with the passageway of the tube.

Preferably the heater is located substantially within the passageway, orsubstantially within a wall of the passageway, or substantially about anexterior surface of the passageway.

Preferably the heater is located substantially about an exterior surfaceof the passageway.

Preferably the heater is a heat source for gas passing through thepassageway.

Preferably the heater is at least one heater wire.

Preferably the pre-formed electrical port component comprises at leastone locator for attachment to at least a section of a wall forming thepassageway or the at least one end of the tube.

Preferably the at least one locator comprises electrical connector(s)for electrically coupling the electrical connector with one or moreelectrically powered heater or heaters associated with the passageway.

Preferably the electrical port is fluidly sealed from communication withthe passageway.

Preferably the pre-formed sensor port component and pre-formedelectrical port component are a single pre-moulded component.

Preferably the over-moulded cuff forms a pneumatic seal about, at least,the at least one tube end and between the pre-formed pneumatic componentand the pre-formed sensor port component, whilst maintaining fluidconnection between the pre-formed pneumatic port component and the atleast one end of the tube and passageway.

Preferably the cuff is directly attached during an over-mouldingoperation to, at least, an exterior surface of the at least one end ofthe tube, the pre-formed sensor port and the pre-formed pneumatic port.

Preferably the cuff is formed from, or by, a single over-mouldingprocedure.

Preferably there is no intermediate layer or protective collar ormaterial is positioned between, at least, the over-moulded cuff and anexterior wall of the passageway, such as for preventing direct contactbetween the over-moulded cuff and the exterior wall of the passageway.

Preferably the cuff is formed of a material having a lower relativemelting point than that of, at least, the pre-formed pneumatic portcomponent, the pre-formed sensor port component, and material forming awall of the passageway.

Preferably the cuff is formed of a material relatively more pliable thanthat of, at least, the pre-formed pneumatic port component and/or thepre-formed sensor port component.

Preferably the pre-formed sensor port component is locatedlongitudinally intermediate of the at least one end and the pre-formedpneumatic port component.

Preferably the pre-formed pneumatic port component is substantiallyaxially aligned with the tube passageway, and/or the pre-formedpneumatic port component is substantially aligned with the tubepassageway such that pneumatic connection between the pre-formedpneumatic port component and the passageway is provided.

Preferably the interior of the passageway is of a smooth linear surface.

Preferably the interior of the passageway is devoid of corrugations,convolutions or undulations.

Preferably the wall is of a corrugated form.

Preferably the interior surface of the passageway is mechanically and/orchemically cleanable, and/or surfaces in contact with the gas ismechanically and/or chemically cleanable.

Preferably the tube is a reusable medical tube.

According to a third aspect of the invention, there is provided amedical tube comprising:

a tube wall defining a passageway for transportation of gas, and havinga first end and a second end (such as, for example, a machine end and apatient end), the passageway providing for fluid communication betweenthe ends,

wherein at least one end of the medical tube comprises:

a pre-formed pneumatic port connector component in fluid communicationwith the passageway, the connector component configured for fluidconnection with a further component(s) of a breathing circuit,

a pre-formed electrical port component receivable of an electricalconnection for providing an electrical circuit or pathway to one or moreelectrical appliances associated with the passageway, and

a cuff over-moulded about and connecting of the pneumatic portcomponent, electrical port component and at least a portion of the tubeend.

Preferably the electrical appliance is at least one electrically poweredheater associated with the passageway of the tube.

Preferably the heater is located substantially within the passageway, orsubstantially within a wall of the passageway, or substantially about anexterior surface of the passageway.

Preferably the heater is located substantially about an exterior surfaceof the passageway.

Preferably the heater is a heat source for gas passing through thepassageway.

Preferably the heater is at least one heater wire.

Preferably the pre-formed electrical port component comprises at leastone locator for attachment to at least a section of a wall forming thepassageway or the at least one end of the tube.

Preferably the at least one locator comprises electrical connector(s)for electrically coupling the electrical connector with one or moreelectrically powered heater or heaters associated with the passageway.

Preferably the electrical port is fluidly sealed from communication withthe passageway.

Preferably the at least one tube end further comprises a pre-formedsensor port component receivable of a sensor for sensing one or morecharacteristics of gas in the passageway, the cuff being additionallyover-moulded of the pre-formed sensor port component.

Preferably the sensor port component is arranged such that a sensorlocated by the sensor port component is in fluid communication with thepassageway and positioned to be substantially perpendicular to flow ofgas in the passageway.

Preferably a sensor receivable by the sensor port component is sensingof one or more of gas temperature, relative humidity, gas velocity (orflow rate).

Preferably the sensor is fluidly connected to or in fluid connectionwith the passageway.

Preferably the pre-formed sensor port component comprises at least onelocator for attachment to at least a section of a wall forming thepassageway or the at least one end of the tube.

Preferably the sensor port and electrical port are a single pre-mouldedcomponent.

Preferably the over-moulded cuff forms a pneumatic seal about, at least,the at least one tube end and between the pre-formed electrical portcomponent and the pre-formed pneumatic port component, whilstmaintaining fluid connection between the pneumatic port and the at leastone end of the tube and passageway.

Preferably the cuff is directly attached during an over-mouldingoperation to an exterior surface of the at least one end of the tube.

Preferably the cuff is directly attached to, at least, the pre-formedpneumatic port component, pre-formed electrical port component during anover-moulding procedure.

Preferably the cuff is formed from or by a single-step over-mouldingprocedure.

Preferably the pre-formed pneumatic port component provides forpneumatic connection with the at least one end of the passageway.

Preferably the pre-formed pneumatic port component is substantiallyaxially aligned with the tube passageway and/or wherein the pre-formedpneumatic port component is substantially aligned with the tubepassageway such that pneumatic connection between the pre-formedpneumatic port component and the passageway is provided.

Preferably the cuff is formed of a material having a lower relativemelting point than that of, at least, the pneumatic port component,electrical port component, and passageway.

Preferably the cuff is formed of a material that is relatively morepliable that that of, at least, the pneumatic port component, electricalport component, and passageway.

Preferably the interior of the passageway is of a smooth linear surface.

Preferably the interior of the passageway is devoid of corrugations,convolutions or undulations.

Preferably the wall is of a corrugated form.

Preferably the interior surface of the passageway is mechanically and/orchemically cleanable, and/or surfaces in contact with the gas ismechanically and/or chemically cleanable.

Preferably the tube is a reusable medical tube.

According to a fourth aspect of the invention, there is provided amethod for fabricating a medical tube comprising:

providing a length of tube, the length of tube comprising a tube walldefining a passageway for transportation of gas, and having a first endand a second end (such as, for example, a machine end and a patientend), the passageway providing for fluid communication between the ends,

locating one or more first pre-formed component or componentssubstantially adjacent to at least one of the ends of the tube,

locating one or more second pre-formed component or componentssubstantially at or to the at least one end of the tube, and

in a single over-moulding procedure, over-moulding a cuff about thefirst pre-formed component(s) and second pre-formed component(s) andabout at least a portion of the at least one end of the tube,

the over-moulded cuff attaching to and locating the pre-mouldedcomponent(s) in place relative to the at least one end of the tube, suchthat in use, the first pre-formed component or components is in fluidcommunication with the passageway, the, or each, first pre-formedcomponent configured for fluid connection with a further component(s) ofa breathing circuit, and the second pre-formed appliance component orcomponents is receivable of a tube appliance.

Preferably, in a moulding die, the at least one end of the tube ispositioned in a tube receiving mould position, the first pre-formedcomponent(s) is/are positioned in first pre-formed component receivingmould position, and the second pre-formed component(s) is/are positionedin a second pre-formed component receiving mould position, such that,the cuff is formed by over-moulding a moulding material about each ofthe pre-formed components and at least a portion of the at least one endof the tube.

Preferably, the first pre-formed component is a pneumatic port, thepneumatic port providing for pneumatic connection with the at least oneend of the passageway.

More preferably, the pneumatic port aligning substantially axially withthe tube passageway.

Alternatively preferably, the pneumatic port aligning substantially withthe tube passageway such that pneumatic connection between the port andthe passageway is provided.

Preferably, the pneumatic port is a tubular body having a longitudinalaxis, such as a substantially cylindrical housing.

Preferably, the at least one second pre-formed appliance component isattachable to at least a part or parts of the at least one tube end.

More preferably, the second pre-formed component is attachable by one ormore locators extending from the component.

Even more preferably, the locator(s) is/are a clip or clips.

Most preferably, the locator(s) is attachable to a section or sectionsof a wall forming the passageway and the at least one end of the tube.

Preferably, the second pre-formed component is a body comprising atleast one locator for attachment to at least a section of a wall formingthe passageway and the at least one end of the tube.

More preferably, the at least one locator comprises electricalconnector(s) for electrically coupling an electrical appliancereceivable by the second pre-formed component with one or moreelectrical appliances associated with the conduit or passageway.

Preferably, at least one second pre-formed appliance component comprisesa sensor port, the sensor port receivable of a sensor for sensing one ormore characteristics of gas in the passageway.

More preferably, the sensor port is arranged such that a sensor locatedby the sensor port is positioned to be substantially perpendicular toflow of gas in the passageway.

Even more preferably, a sensor receivable by the sensor port componentis sensing of one or more of gas temperature, relative humidity, gasvelocity (or flow rate).

Preferably, at least one second pre-formed appliance component is anelectrical port receivable of an electrical appliance connection forproviding an electrical circuit or pathway to one or more electricalappliances associated with the passageway.

More preferably, the electrical port is configured for providing anelectrical connection to at least a heater wire.

Even more preferably, the heater wire is located substantially withinthe passageway, or substantially within a wall of the passageway, orsubstantially about an exterior surface of the passageway.

Yet even more preferably, the heater wire is located substantially aboutan exterior surface of the passageway.

Most preferably, the heater wire is a heater source for gas passingthrough the passageway.

Preferably, the electrical appliance associated with the passageway iselectrically connected to or with the electrical port prior to theover-moulding.

Preferably, the heater wire is electrically connected to or with theelectrical port prior to the over-moulding in the mould.

Preferably, the heater wire is soldered to electrical terminals of theelectrical port.

Preferably, the interior of the passageway is of a smooth linearsurface.

More preferably, the interior of the passageway is devoid ofcorrugations, convolutions or undulations.

Alternatively preferably, the interior of the passageway is capable ofbeing mechanically and/or chemically cleaned.

Preferably, the over-moulded cuff forms a pneumatic seal about the atleast one tube end and between the first pre-formed component(s) and thesecond pre-formed component(s), whilst maintaining fluid connectionbetween the first pre-formed component(s) and the at least one end ofthe tube and passageway therein.

More preferably, the cuff is formed from, or by, a single over-mouldingprocedure.

Preferably, the cuff is directly attached during an over-mouldingoperation to an exterior surface of the at least one end of the tube.

Preferably, the cuff is directly attached to the first pre-formedcomponent(s) and the second pre-formed component(s) during theover-moulding operation.

Preferably, the cuff is formed by a single-step over-moulding operation.

Preferably, the cuff is formed of a material having a lower meltingpoint than that of the first and second pre-formed component(s), andmaterial forming a wall of the passageway.

Preferably, the cuff is formed of a material more pliable than that ofthe first pre-formed component(s) and/or second pre-formed component(s).

Preferably, the second pre-formed component is located longitudinallyintermediate of the at least one end and the first pre-formed component.

Alternatively preferably, the first pre-formed component comprises asensor port and an electrical port as single pre-moulded component.

In respect of any one of the embodiments described above, such a secondpre-formed component may provide for an electrical port and/oroptionally a sensor port, wherein at least a portion of the componentattaches to the tube by retention of a part of the tube end (e.g., abead, rib, portion of a tube wall, or combinations of these) and thecomponent.

Preferably, the component comprises a first part housing an electricalport and/or a sensor port and a second part configured to enclose a rearsurface of the electrical port and/or sensor port part.

Preferably, the rear surface is provided for electrical connectionbetween the electrical terminals of an electrical port and a heaterwire(s) and/or sensor wire(s) or other electrical or sensor componentscarried by the tube.

Preferably, the first part or the second part (or both) comprises achannel or a recess or pathway or shaped channel region for heaterwire(s) and/or sensor wire(s) extending carried by the tube extendingfrom a tube part thereof to the rear surface for electrical connectionto the electrical terminals.

Preferably, the one or more protrusions and one or more complimentaryrecesses are provided upon the first and second parts allowing suchparts to fit together. More preferably, such a fit is a snap-fit or afriction-fit configuration.

Preferably, the first and second parts are provided with a foldingregion or a thinned region capable of folding or being folded, such thatthe first and second parts may be provided as a single part, and suchparts may be fitted together.

Preferably, said component provides a housing or encasing for electricalconnections between electrical terminals and electrical componentscarried by the tube. In some configurations, at least a part of theelectrical port terminals provide for electrical connection to heaterwire(s) (and/or sensor wire(s)) provided associated with the tube

Preferably, the component provides for a secure retention between thecomponent and at least a part or parts of the end of the tube. The term“comprising” as used in this specification means “consisting at least inpart of”. When interpreting each statement in this specification thatincludes the term “comprising”, features other than that or thoseprefaced by the term may also be present. Related terms such as“comprise” and “comprises” are to be interpreted in the same manner.

This invention may also be said broadly to consist in the parts,elements and features referred to or indicated in the specification ofthe application, individually or collectively, and any or allcombinations of any two or more said parts, elements or features, andwhere specific integers are mentioned herein which have knownequivalents in the art to which this invention relates, such knownequivalents are deemed to be incorporated herein as if individually setforth.

The invention consists not only in the foregoing but also envisagesadditional constructions of which the following gives examples only.

BRIEF DESCRIPTION OF THE DRAWINGS

Preferred embodiments of the invention will be described by way ofexample only and with reference to the drawings, in which:

FIG. 1 is a schematic illustration of one type of breathing circuit inwhich a component according to the invention may be used.

FIG. 2 illustrates a first embodiment of an end of a conduit accordingto the invention.

FIG. 3 illustrates a second embodiment of an end of a conduit accordingto the invention.

FIG. 4 illustrates a third embodiment of an end of a conduit accordingto the present invention.

FIG. 5 illustrates a fourth embodiment of an end of a conduit accordingto the present invention.

FIG. 6 is sectional view through an end of a conduit, for examplethrough the end of FIG. 5.

FIG. 7A illustrates the relative location of a pre-formed firstcomponent and second pre-formed component, each of which are held inplace by an over-moulded cuff (shown in phantom lines), according to theembodiment shown by FIG. 4.

FIG. 7B illustrates the relative location of a pre-formed firstcomponent and second pre-formed component, each of which are held inplace by an over-moulded cuff (shown in phantom lines), according to theembodiment shown by FIG. 5.

FIG. 8 illustrates, in exploded form, the separate parts forming aconduit end, according to the embodiments shown by FIG. 4.

FIGS. 9A and 9B illustrate an alternative embodiment of locator clipsassociated with a second pre-formed component for connecting thatcomponent to the end of a conduit.

FIGS. 10a and 10b illustrate a further embodiment of a second pre-formedcomponent for connecting that component to the end of a conduit, FIG.10a illustrating the component in an “open” position, and FIG. 10billustrating the component in a “closed” position.

DETAILED DESCRIPTION

In this specification, the terms “medical circuit” and “breathingcircuit” are used to indicate the general field of the invention. It isto be understood that a “circuit” is intended to include open circuits,which do not form a complete closed circuit. For example, CPAP systemstypically consist of a single inspiratory breathing tube between theblower and the patient interface. The term “breathing circuit” isintended to include such “open circuits.” Similarly, the term “medicalcircuit” is intended to include both breathing circuits and insufflationcircuits (which are also typically “open”). Similarly, the term “medicaltubing” is intended to be read broadly and as flexible tubing suitablefor use in the type of medical circuits described above connectingbetween components of a medical circuit and providing a low resistancegases pathway between components of a medical circuit.

In the field of medical circuits, and particularly in the field ofbreathing circuits (including anaesthetic circuits), condensation orrain-out can be a particular problem where high humidity breathing gasescome into contact with the walls of a component at a relatively lowertemperature. With reference to FIG. 1, a humidified ventilation systemis shown in which a patient 100 is receiving humidified and pressurisedgases through a patient interface 102 connected to a humidified gasestransportation pathway or inspiratory breathing tube 103. It will beappreciated the patient interface 102 may take the form of a nasal mask,oral mask, oronasal mask, nasal prongs, endotracheal tube or full-facemask, etc.

It should be understood that delivery systems also could be continuous,variable or bi-level positive airway pressure or numerous other forms ofrespiratory therapy. The inspiratory breathing tube 103 is connected toan outlet 104 of a humidification chamber 105, which contains a volumeof water 106. The inspiratory breathing tube 103 may include a heater orheater wires (not shown) that heat the humidified gases within the tubeto reduce the formation of condensation. The humidification chamber 105is heated by a heater plate 107 of a humidifier base 108. The humidifierbase 108 can be connected to an electronic controller, which maycomprise a microprocessor-based controller executing computer softwarecommands stored in associated memory.

In response to a user set humidity or temperature value, which value canbe input via a dial 110, for example but without limitation, and/orother inputs, the controller determines when (or to what level) toenergise the heater plate 107 to heat the water 106 within thehumidification chamber 105. As the volume of water is heated, watervapour begins to fill the chamber above the water's surface and ispassed out of the humidification chamber outlet 104. A flow of gases(for example air) is provided from a gases supply or ventilator 115,which flow of gases enters the humidification chamber 105 through aninlet 116. Exhaled gases from the patient's mouth are returned to theventilator through a return expiratory breathing tube 130, whichexpiratory breathing tube 130 may also include a heater or heater wires(not shown) that heat the humidified gases within the expiratorybreathing tube 130 to reduce the formation of condensation.

It is preferable that the medical tubing (for example, the inspiratoryand/or expiratory breathing tubes 103,130) is: (1) substantiallyresistant to crushing; (2) substantially resistant to restrictions inflow when bent (increased resistance to flow <50% when bent around a 1inch cylinder); (3) substantially resistant to kinking; (4)substantially resistant to changes in length/volume under fluctuatinginternal pressure (i.e., resistant to compliance); (5) substantiallyresistant to leaking (i.e., leakage of <25 ml/min @6 kPa); (6) low inflow resistance (i.e., an increase in pressure@max. rated flow <0.2kPa); (7) substantially electrically safe (i.e., sparks minimized oreliminated in the tubing during use); and/or (8) of a single lumendesign.

International standard ISO 5367:2000(E) (Fourth edition, 2000-06-01) isone example of how some of these desirable parameters are measured andquantified, and the document is hereby incorporated into thisspecification in its entirety by reference. It is preferable thatcomponents of the invention meet or exceed some or all of thesestandards. Further, reference to medical tubes includes breathing tubesas defined in the above ISO standard.

According to one embodiment of the invention, there is provided amedical tube 200 comprising a tube wall 201 defining a passageway 203for transportation of gas, and having a first end and a second end (suchas, for example, a machine end and a patient end). The passageway 203provides for fluid communication between the ends. At one (or both)end(s) of the medical tube there is provided a cuff 204 over-mouldedabout and attaching of one or more first pre-formed component(s) 205,one or more second pre-formed component(s) 206, and at least a portionof the at least one tube end 202. The cuff 204 is formed such that, inuse, the first pre-formed component or components 205 is in fluidcommunication with the passageway 203, the one or more first pre-formedcomponent 205 being configured for fluid connection with a furthercomponent(s) of a breathing circuit, and the second pre-formed component206 being receivable of an auxiliary medical tube appliance (not shown).

The one or more first pre-formed component 205 can be formed orconfigured such that it may comply or be fittingly engageable with thoseconnectors or fittings as required to comply with ISO 5356-1:2004 for 22mm tapered connections.

A tube end 202 of a conduit or medical tube 200 according to oneembodiment of the invention is illustrated in FIG. 2. The medical tube200 comprises a tube wall 201 defining the passageway (or lumen) 203 fortransportation of breathing gases along the tube from a first end to asecond end of the tube wall, for example from a machine end of themedical tube in fluid communication with a blower unit to a patient endof the conduit in fluid communication with a face mask or other patientinterface. One or both ends of the medical tube 200 may be configured asillustrated in FIG. 2.

With reference to FIG. 2, and at a tube end 202 of the medical tube, thefirst pre-formed component 205 provides for a pneumatic port 207 influid communication with the passageway 203. The first pre-formedcomponent 205 can be shaped or configured for connection with a furthercomponent of a breathing a circuit, for example to a humidificationdevice (e.g. outlet from humidifier chamber) or a patient interface(e.g. mask or nasal cannula), or other connecting device.

Such a first pre-formed component 205 is pre-formed (or pre-moulded)prior to being over-moulded with the cuff 204. The first pre-formedcomponent 205, for example, can be formed from a relatively rigidmaterial for ease of connection with a further component of a breathinga circuit, including insufflator circuits, or alternatively fordurability with re-use.

It will be appreciated the pneumatic port 207 preferably issubstantially axially aligned with the passageway 203, or substantiallyaligned with the passageway 203 or tube wall 201, such that pneumatic(or fluid) connection between the pneumatic port 207 and the passageway203 is facilitated. As illustrated in FIG. 2, the pneumatic port 207 canbe a tubular body having a longitudinal axis, such as a substantiallycylindrical housing.

According to the first embodiment, the tube end 202 further comprises asecond pre-formed component 206. Such a second pre-formed component 206is adapted to receive an auxiliary medical tube appliance. In theillustrated embodiment, the second preformed component 206 is a port forreceiving an auxiliary medical tube appliance (not shown).

For example, the auxiliary medical tube appliance can be a sensor (notshown) for sensing one or more characteristics of gas in the passageway.Accordingly, at least one of the second pre-formed components 206comprises a sensor port 209 for receiving such a sensor. The secondpre-formed component 206, for example, can be formed from a relativelyrigid material for ease of connection with an auxiliary medical tubeappliance, or alternatively for durability with re-use. Advantageously,the sensor port 209 is configured to position a sensor substantiallyperpendicular to a flow of gas in the passageway 203. The sensorreceived by the sensor port 209 advantageously may sense one or morecharacteristics of gas or gas flow in the passageway 203 (e.g., one ormore of gas temperature, relative humidity, gas velocity, gas flowrate).

In a preferred form, the auxiliary medical tube appliance is atemperature sensor that fittingly engages (e.g., fluidly seals) with thesensor port 209. FIGS. 2-5 illustrate embodiments of the medical tubes200 comprising embodiments of the sensor port 209. FIGS. 2 and 4illustrate configurations that additionally include an electrical port210. A plug or cap 212 can provided for fluidly sealing the sensor port209, although the plug or cap 212 could be appropriately shaped orconfigured for sealing the electrical port 210. In some configurations,at least one plug or cap 212 can be provided for both the sensor port209 and the electrical port 210.

In some configurations, the auxiliary medical appliance can be anelectrical supply (e.g. a plug or electrical terminals) that is used toelectrically connect a power source to the medical tube. Accordingly, atleast one of the second pre-formed components 206 can comprise anelectrical port 210 that is adapted to receive an electrical connector,for example providing an electrical supply to one or more electricallypowered heater or heaters associated with the passageway 203.Advantageously, such a heater or heaters is/are located substantiallywithin the passageway 203, or substantially within a wall 201 of thepassageway 203, or substantially about an exterior surface of thepassageway or tube wall 201. Such heaters may be one or more heaterwires. Such electrically powered heaters may be electrically connectedto terminals at the electrical port 210 via soldering of connections, orprovision of suitable insulation displacement connector systems. FIGS. 2and 4 illustrate embodiments of the medical tube 200 comprising a sensorport 209 and an electrical port 210. However, it will be appreciated anembodiment similar to that of any of the figures, including FIGS. 3 and5, may be provided but where there is only an electrical port 210 and nosensor port 209 provided. Although not shown in FIGS. 2 and 4, theelectrical port 210 preferably comprises electrical terminals, such as aset of pins 213 similar to those shown in electrical port 210 of FIG. 8.

The electrical terminal connections of the electrical port 210 can beelectrically connected to, for example, the heater wires 211 forcompleting an electrical circuit pathway. FIGS. 9A and 9B illustrate oneexample of electrical connections made between the heater wires 211 andthe electrical terminals (e.g., pins 213) of the electrical port 210.FIGS. 9A and 9B further illustrate an embodiment of a locator 208associated with the electrical port 210 attached to a region of one endof the medical tube 200. The electrical port 210, as shown by FIGS. 9Aand 9B, may include a plastic hinge 214 (not specifically detailed) thatallows the locator 208 and the electrical port 210 to be closed suchthat subsequent over-moulding by a cuff is facilitated to provide for anassembled medical tube 200 as shown by the other figures.

Turning to the second pre-formed component 206, such a component isattachable to at least a part or parts of the at least one tube wallend. In this respect, one or more locators 208 may extend from thesecond pre-formed component 206 for attachment to at least a part orparts of the tube end. The locator(s) 208 are attachable to a section orsections of a wall forming the passageway and the at least one end ofthe tube.

In some configurations, the locators can be of a different form, such asthat shown in FIGS. 9A and 9B, for example but without limitation. Asshown by FIGS. 9A and 9B, the heater wires 211 contained within ahelical bead extending about the outer surface of the conduit areexposed and are electrically terminated or connected to the electricalport 210. FIGS. 4 and 5 illustrate the medical tube 200 comprising ahelical bead containing the electrically powered heater wire 211.

The at least one locator 208 of the second pre-formed component 206 canbe employed for positioning the component in place relative to the endof the tube prior to over-moulding of the cuff 204. The secondpre-formed component 206 is located longitudinally intermediate of theat least one end and the first pre-formed component 205. Such locators208 may be a clip or clips for attaching or connecting to an end of thetube wall. However, such locators 208 may additionally provide furtherfunctionality.

For example, the one or more of the locators 208 may electricallyconnect the electrically powered heater or heaters associated with thepassageway 203. In such a configuration, or other forms of thisconfiguration, it will be appreciated the second pre-formed component206 with an electrical port 210 allow for electrical connection of apower source to the heaters (e.g. heater wires).

The electrical connection can be by way of soldering of heater wires tothe electrical terminal (e.g. pins in electrical port 210), or forexample by insulation displacement connection of the locator clips tothe heater wires, thereby creating an electrical pathway to theelectrical terminal of the electrical port 210.

It will be appreciated the electrical port 210 is configured forproviding electrical connection between an auxiliary medical applianceand those parts of the medical tube 200 needing electrical power foroperation.

FIGS. 10a and 10b illustrate yet a further embodiment of how a secondpre-formed component 206 may configured. Such a second pre-formedcomponent 206 in these figures is shown, for the sake of clarity,without the optional sensor port 209 or the first pre-formed component205, or the cuff 204 which is over-moulded. According to such anembodiment, the second pre-formed component 206 attaches to at least aportion of parts of the at least one tube end 202. Such a portion ofparts that the second pre-formed component 206 attaches to may be aportion of a bead or rib or corrugated portion of a tube wall 201. Anoptional sensor port may be provided by such a second pre-formedcomponent 206.

For example, the second pre-formed component 206 may attach to a bead215. Such a bead 215 can encapsulate or house or locate a heater orheater wire or other electrical components (whether singular componentsor plural components) requiring electrical connection with an auxiliarymedical tube appliance which can be connected to the electricalterminals of electrical port 210 (not specifically shown in FIG. 10a or10 b, but shown in FIGS. 2, 4, 7A, 8 by way of example).

In respect of such a further embodiment, the second pre-formed component206 can be formed in a manner that allows the component to fold overupon itself. Such folding may be about a thinned mid-line or otherregion 216 of the second pre-formed component 206. In such a setup, thesecond pre-formed component 206 may advantageously provide for anappropriately shaped channel region 217 allowing for a pathway ofelectrical heaters or sensor wires or other electrical componentsextending from the end of the tube to the electrical terminals of thesecond pre-formed component 206.

Additionally, a latching arrangement comprising a protrusion 218 and acomplimentary receptacle 219 for the protrusion may be provided forretaining the component in a folded arrangement. This may be provided inthe form of a snap-fit or friction-fit positioning of the protrusioninto the receptacle. It will however be appreciated that other forms ofretention of the component in a folded arrangement may be contemplated.

Preferably, the second pre-formed component 206 provides for a secureretention between the component and at least a part or parts of the endof the tube.

The second pre-formed component 206 as shown by FIGS. 10a and 10b mayadditionally provide for an improved security or latching region aboutelectrical connections or solder joints, thereby protecting suchconnections or joints from impact or potential for fracture. Such asecond pre-formed component 206 may facilitate improved stability ofattachment or grip to the tube end 202 of the medical tube 200.

As shown by FIG. 10a , the second pre-formed component 206 is in an“open” position where the first part (e.g., the part housing theelectrical port 210 or any sensor port (not shown)) of the component andits rear surface is exposed, showing electrical connection betweenheater wires extending from a tube bead and connecting to the electricalterminals of electrical port 210. The second part of the component(e.g., the part shown in this embodiment as having the channel region217 and the protrusion 218) has the folding region or thinned region 216allowing folding of the first and second parts together for retention ofthe second pre-formed component 206 to the tube end.

FIG. 10b shows the second pre-formed component 206 where the first andsecond parts are in a closed configuration and the second pre-formedcomponent 206 is in retention of the tube. In the closed position, theprotrusion 218 is received by the recess 219, such receipt providing forholding the component in its closed position.

In other forms, the second pre-formed component 206 is adapted toreceive auxiliary medical appliances, where both of a sensor port 209and an electrical port 210 are provided. Such a second pre-formedcomponent 206 can be a single component or piece.

As shown in FIG. 2, the cuff 204 is over-moulded about and attaches tothe first pre-formed component 205 and the second pre-formed component206 and the at least one tube end 202 of the medical tube's wall 201 sothat the first preformed component 205 is in fluid communication withthe passageway 203. The cuff 204 is over-moulded in a singleover-moulding operation or procedure. That is, there is no requirementfor multiple moulding stages or sequences. Furthermore, there is no needfor a protective layer, material or other shroud to cover or provideprotection to the medical tube (particularly the wall of the tube) fromthe over-moulding material. Problems encountered in the past withover-moulding have included burn-through or melting of tube walls whencuff material is applied in a moulding condition (e.g. melt state).

The cuff 204 advantageously is formed of a material relatively morepliable than that of the first pre-formed component(s) and/or secondpre-formed component(s), or may be of a material having a lower relativemelting point than that of the first and second pre-formed component(s)205, 206, and the material forming the tube wall 201.

Where the cuff material has a lower melting point than that of thematerial forming the tube wall 201, the cuff 204 can be directlyattached during an over-moulding operation to an exterior surface of atleast one end of the tube wall. As used herein, “directly attached”means the tube end 202 does not comprise any intermediate layer orprotective collar or material positioned between the over-moulded cuff204, which is over-moulded, and an exterior surface of the tube wall201, such as for preventing direct contact between the over-moulded cuffand the exterior surface of the tube wall.

The cuff 204, which is over-moulded, forms a pneumatic seal about atleast one tube wall end and between the first pre-formed component(s)205 and the second pre-formed component(s) 206, whilst maintaining fluidconnection between the first pre-formed component(s) 205 and the atleast one tube end 202 and passageway 203 of the medical tube 200.

In another form, the cuff 204 can optionally include one or more caps orplugs 212. Such a cap or plug 212 can be utilised to cap or plug asensor port 209 or an electrical port 210 when either (or both) are notin use, or do not have an auxiliary appliance in-situ. Such a plug 212may further ensure a pneumatic seal is provided between the passagewayand the pneumatic port 207 or end of the first pre-formed component 205when one or more of the sensor port 209 or electrical port 210 isprovided but no auxiliary appliance is positioned therein.

An alternative conduit end to that illustrated in FIG. 2 is an end thatcomprises more than one first pre-formed component 205 (e.g., may havetwo or more pneumatic ports) or more than one second pre-formedcomponent 206 (e.g., may have separate second pre-formed components 206providing for separate sensor port 209 and separate electrical port210). In yet an even further alternative, as previously described, andas illustrated by FIG. 3, there may be provided only a sensor port 209with no electrical port. It will be appreciated such a configuration maybe in the alternative, that is, an electrical port 210 may be provided,but no sensor port.

As shown in FIGS. 2 and 3, the interior wall surface of the medical tubemay be substantially smooth or of an undefined shape. In someconfigurations, such as illustrated in FIGS. 4 and 5 for example, thetube wall 201 can comprise a rib formed in or on the tube wall of theconduit. As illustrated the rib can be helically disposed along thelength of the tube wall 201. Separate ribs may be formed spaced apartalong the length of the tube wall. For example, a separate rib may beformed around a circumference of the tub wall and may be linearly spacedapart from further separate ribs. Such ribs may be utilised forstructural strength purposes of the medical tube, or may encapsulate,overlie or surround an electrically powered heater, for example a heaterwire, or may provide both a heater encapsulation and a tube strengthbenefit.

In some embodiments, the interior wall surface of the passageway may bea smooth surface. In various embodiments, the interior of the passagewaymay be devoid of corrugations, convolutions or undulations. Such aconfiguration may assist with the ability to clean medical tubing forre-use. In some embodiments, the passageway of the tube wall comprises acorrugated form, although this may be less preferable for ease ofcleaning for subsequent re-use. In re-use applications, the medicaltube, or at least the interior surface of the passageway of the medicaltube, advantageously is mechanically and/or chemically cleanable.Preferably, at least those surfaces of the medical tube that are incontact with the gas (i.e., inspiratory or expiratory limbs) can bemechanically and/or chemically cleanable.

In some embodiments, the medical tube 200 comprises a tube wall defininga passageway 203 for transportation of gas, and having a first end and asecond end (such as, for example, a machine end and a patient end). Thepassageway 203 provides for fluid communication between the ends and atleast one tube end 202 of the medical tube 200 comprises a pre-formedpneumatic port component in fluid communication with the passageway. Thecomponent can be configured for fluid connection with a furthercomponent(s) of a breathing circuit. A pre-formed sensor port componentis receivable of a sensor for sensing one or more characteristics of gasin the passageway 203 and a cuff 204 is over-moulded about and therebyconnects the pneumatic port component, the sensor port component and atleast a portion of the tube end. In some embodiments, at least one tubeend further comprises a pre-formed electrical port component receivableof an electrical connection for providing an electrical circuit orpathway to one or more electrical appliances associated with thepassageway, the cuff being additionally over-moulded over the pre-formedelectrical port component.

In some embodiments, the medical tube 200 comprises a tube wall defininga passageway for transportation of gas and having a first end and asecond end (such as, for example, a machine end and a patient end). Thepassageway provides for fluid communication between the ends and atleast one end of the medical tube comprises a pre-formed pneumatic portconnector component in fluid communication with the passageway. Theconnector component can be configured for fluid connection with afurther component(s) of a breathing circuit. A pre-formed electricalport component can be receivable of an electrical connection forproviding an electrical circuit or pathway to one or more electricalappliances associated with the passageway. A cuff can be over-mouldedabout and can thereby connect the pneumatic port component, theelectrical port component and at least a portion of the tube end. Insome configurations, at least one tube end further comprises apre-formed sensor port component receivable of a sensor for sensing oneor more characteristics of gas in the passageway, the cuff beingadditionally over-moulded over the pre-formed sensor port component.

In respect of the embodiments above, the pneumatic port is generally asshown by the first pre-formed component 205 as previously described; thesensor port component is generally as shown by the second pre-formedcomponent part 206 as previously described; and the electrical portcomponent is generally as shown by the second pre-formed component part206. Notably, an electrical port 210 and a sensor port 209 may each beoptionally included in such arrangements of medical tubes 200. Where anelectrical port is provided, various forms of electrical connection andelectrically powered heater or heaters, as previously described, can beimplemented. Likewise, where a sensor port is provided, various forms ofthe sensor port and sensor positioning, as previously described, can beimplemented.

In constructing the medical tubes 200 of the various embodiments above,one such method for fabrication comprises one or more of the followingsteps:

soldering heater wires together at the patient end of the tube to form aclosed electrical circuit,

providing a length of tube, the length of tube comprising a tube walldefining a passageway for transportation of gas, and having a first endand a second end (e.g., a machine end and a patient end), the passagewayproviding for fluid communication between the ends,

locating one or more first pre-formed component or componentssubstantially adjacent at least one of the ends of the tube,

inserting or providing electrical contact pins in the pre-formedcomponent comprising the electrical port for establishing an electricalconnection between an auxiliary medical appliance providing power tothose parts of the tube requiring electrical power (e.g., heater wire),

attaching the machine end of the tube to the electrical port componentand soldering or connecting the heater wires from the tube to theelectrical contact pins, keeping the heater wires on the externalsurface of the tube

in a single over-moulding procedure, over-moulding a cuff about thefirst pre-formed component(s), the second pre-formed component(s) and atleast a portion of the ends of the tube,

the over-moulded cuff attaching to and locating the pre-mouldedcomponent(s) in place relative to the at least one end of the tube suchthat, in use, the first pre-formed component or components is in fluidcommunication with the passageway, the, or each, first pre-formedcomponent configured for fluid connection with a further component(s) ofa breathing circuit, and the second pre-formed appliance component orcomponents is receivable of a tube appliance.

In some methods, the steps also may optionally provide for theelectrical port to be located on the outside of the cuff andelectrically connected to the tube's heater wires such that there are nobare heater wires on the interior surface of the tube. Such aconfiguration may have particular application in improving safety ofsuch electrically powered tubes.

Such a fabrication can be performed using a mould receivable of the atleast one tube end 202, as well as the various pre-formed components(205, 206). For example, in a moulding die:

the at least one end of the tube is positioned in a tube receiving mouldposition,

the first pre-formed component(s) is/are positioned in first pre-formedcomponent receiving mould position,

the second pre-formed component(s) is/are positioned in a secondpre-formed component receiving mould position,

the electrical contact pins are connected to the tube heater wires andpositioned in the relevant mould position,

such that, the cuff is formed by over-moulding a moulding material abouteach of the pre-formed components and at least a portion of the at leastone end of the tube.

Tube materials may be those chosen to be suitable for re-useapplications, for durability, for hygiene or sterility purposes, as wellas for complying with standards governing breathing tubes.

The foregoing description of the invention includes preferred formsthereof. Modifications may be made thereto without departing from thescope of the invention.

Preferred Features

1b. A medical tube comprising:

a tube wall defining a passageway for transportation of gas, and havinga first end and a second end (such as, for example, a machine end and apatient end), the passageway providing for fluid communication betweenthe ends,

wherein at least one end of the medical tube comprises:

a pre-formed pneumatic port component in fluid communication with thepassageway, the component configured for fluid connection with a furthercomponent(s) of a breathing circuit,

a pre-formed sensor port component receivable of a sensor for sensingone or more characteristics of gas in the passageway, and

a cuff over-moulded about and connecting of the pneumatic portcomponent, sensor port component and at least a portion of the tube end.

2b. The tube as recited in paragraph 1b, wherein the sensor portcomponent is arranged such that a sensor located by the sensor portcomponent is in fluid communication with the passageway and positionedto be substantially perpendicular to flow of gas in the passageway.

3b. The tube as recited in paragraph 1b or paragraph 2b, wherein asensor receivable by the sensor port component is sensing of one or moreof gas temperature, relative humidity, gas velocity (or flow rate).

4b. The tube as recited in any one of paragraphs 1b to 3b, wherein thesensor is fluidly connected to or in fluid connection with thepassageway.

5b. The tube as c recited in any one of paragraph 1b to 4b, wherein thepre-formed sensor port component comprises at least one locator forattachment to at least a section of a wall forming the passageway or theat least one end of the tube.

6b. The tube as recited in any one of paragraph 1b to 5b, wherein the atleast one tube end further comprises a pre-formed electrical portcomponent receivable of an electrical connection for providing anelectrical circuit or pathway to one or more electrical appliancesassociated with the passageway, the cuff being additionally over-mouldedof the pre-formed electrical port component.

7b. The tube as recited in paragraph 6b, wherein the electricalappliance is at least one electrically powered heater associated withthe passageway of the tube.

8b. The tube as recited in paragraph 7b, wherein the heater is locatedsubstantially within the passageway, or substantially within a wall ofthe passageway, or substantially about an exterior surface of thepassageway.

9b. The tube as recited in paragraph 7b or paragraph 8b, wherein theheater is located substantially about an exterior surface of thepassageway.

10b. The tube as recited in any one of paragraphs 7b to 9b, wherein theheater is a heat source for gas passing through the passageway.

11b. The tube as recited in any one of paragraphs 7b to 10b, wherein theheater is at least one heater wire.

12b. The tube as recited in any one of paragraphs 6b to 11b, wherein thepre-formed electrical port component comprises at least one locator forattachment to at least a section of a wall forming the passageway or theat least one end of the tube.

13b. The tube as recited in paragraph 12b, wherein the at least onelocator comprises electrical connector(s) for electrically coupling theelectrical connector with one or more electrically powered heater orheaters associated with the passageway.

14b. The tube as recited in any one of paragraphs 6b to 13b, wherein theelectrical port is fluidly sealed from communication with thepassageway.

15b. The tube as recited in any one of paragraphs 6b to 14b, wherein thepre-formed sensor port component and pre-formed electrical portcomponent are a single pre-moulded component.

16b. The tube as recited in any one of paragraphs 1b to 15b, wherein theover-moulded cuff forms a pneumatic seal about, at least, the at leastone tube end and between the pre-formed pneumatic component and thepre-formed sensor port component, whilst maintaining fluid connectionbetween the pre-formed pneumatic port component and the at least one endof the tube and passageway.

17b. The tube as recited in any one of paragraphs 1b to 16b, wherein thecuff is directly attached during an over-moulding operation to, atleast, an exterior surface of the at least one end of the tube, thepre-formed sensor port and the pre-formed pneumatic port.

18b. The tube as recited in any one of paragraphs 1b to 17b, wherein thecuff is formed from, or by, a single over-moulding procedure.

19b. The tube as recited in any one of paragraphs 1b to 18b, wherein nointermediate layer or protective collar or material is positionedbetween, at least, the over-moulded cuff and an exterior wall of thepassageway, such as for preventing direct contact between theover-moulded cuff and the exterior wall of the passageway.

20b. The tube as recited in any one of paragraphs 1b to 19b, wherein thecuff is formed of a material having a lower relative melting point thanthat of, at least, the pre-formed pneumatic port component, thepre-formed sensor port component, and material forming a wall of thepassageway.

21b. The tube as recited in any one of paragraphs 1b to 19b, wherein thecuff is formed of a material relatively more pliable than that of, atleast, the pre-formed pneumatic port component and/or the pre-formedsensor port component.

22b. The tube as recited in any one of paragraphs 1b to 21b, wherein thepre-formed sensor port component is located longitudinally intermediateof the at least one end and the pre-formed pneumatic port component.

23b. The tube as recited in any one of paragraphs 1b to 22b, wherein thepre-formed pneumatic port component is substantially axially alignedwith the tube passageway, and/or the pre-formed pneumatic port componentis substantially aligned with the tube passageway such that pneumaticconnection between the pre-formed pneumatic port component and thepassageway is provided.

24b. The tube as recited in any one of paragraphs 1b to 23b, wherein theinterior of the passageway is of a smooth linear surface.

25b. The tube as recited in any one of paragraphs 1b to 24b, wherein theinterior of the passageway is devoid of corrugations, convolutions orundulations.

26b. The tube as recited in any one of paragraphs 1b to 23b, wherein thewall is of a corrugated form.

27b. The tube as recited in any one of paragraphs 1b to 26b, wherein theinterior surface of the passageway is mechanically and/or chemicallycleanable, and/or surfaces in contact with the gas is mechanicallyand/or chemically cleanable.

28b. The tube as recited in any one of paragraphs 1b to 27b, wherein thetube is a reusable medical tube.

1c. A medical tube comprising:

a tube wall defining a passageway for transportation of gas, and havinga first end and a second end (such as, for example, a machine end and apatient end), the passageway providing for fluid communication betweenthe ends,

wherein at least one end of the medical tube comprises:

a pre-formed pneumatic port connector component in fluid communicationwith the passageway, the connector component configured for fluidconnection with a further component(s) of a breathing circuit,

a pre-formed electrical port component receivable of an electricalconnection for providing an electrical circuit or pathway to one or moreelectrical appliances associated with the passageway, and

a cuff over-moulded about and connecting of the pneumatic portcomponent, electrical port component and at least a portion of the tubeend.

2c. The tube as recited in paragraph 1c, wherein the electricalappliance is at least one electrically powered heater associated withthe passageway of the tube.

3c. The tube as recited in paragraph 2c, wherein the heater is locatedsubstantially within the passageway, or substantially within a wall ofthe passageway, or substantially about an exterior surface of thepassageway.

4c. The tube as recited in paragraph 2c or claim 3c, wherein the heateris located substantially about an exterior surface of the passageway.

5c. The tube as recited in any one of paragraphs 2c to 4c, wherein theheater is a heat source for gas passing through the passageway.

6c. The tube as recited in any one of paragraphs 2c to 5c, wherein theheater is at least one heater wire.

7c. The tube as recited in any one of paragraphs 1c to 6c, wherein thepre-formed electrical port component comprises at least one locator forattachment to at least a section of a wall forming the passageway or theat least one end of the tube.

8c. The tube as recited in paragraph 7c, wherein the at least onelocator comprises electrical connector(s) for electrically coupling theelectrical connector with one or more electrically powered heater orheaters associated with the passageway.

9c. The tube as recited in any one of paragraphs 1c to 8c, wherein theelectrical port is fluidly sealed from communication with thepassageway.

10c. The tube as recited in any one of paragraphs 1c to 9c, wherein theat least one tube end further comprises a pre-formed sensor portcomponent receivable of a sensor for sensing one or more characteristicsof gas in the passageway, the cuff being additionally over-moulded ofthe pre-formed sensor port component.

11c. The tube as recited in paragraph 10c, wherein the sensor portcomponent is arranged such that a sensor located by the sensor portcomponent is in fluid communication with the passageway and positionedto be substantially perpendicular to flow of gas in the passageway.

12c. The tube as recited in paragraph 10c or paragraph 11c, wherein asensor receivable by the sensor port component is sensing of one or moreof gas temperature, relative humidity, gas velocity (or flow rate).

13c. The tube as recited in any one of paragraphs 10c to 12c, whereinthe sensor is fluidly connected to or in fluid connection with thepassageway.

14c. The tube as recited in any one of paragraphs 10c to 13c, whereinthe pre-formed sensor port component comprises at least one locator forattachment to at least a section of a wall forming the passageway or theat least one end of the tube.

15c. The tube as recited in any one of paragraphs 10c to 14c, whereinthe sensor port and electrical port are a single pre-moulded component.

16c. The tube as recited in any one of paragraphs 1c to 15c, wherein theover-moulded cuff forms a pneumatic seal about, at least, the at leastone tube end and between the pre-formed electrical port component andthe pre-formed pneumatic port component, whilst maintaining fluidconnection between the pneumatic port and the at least one end of thetube and passageway.

17c. The tube as recited in any one of paragraphs 1c to 16c, wherein thecuff is directly attached during an over-moulding operation to anexterior surface of the at least one end of the tube.

18c. The tube as recited in any one of paragraphs 1c to 17c, wherein thecuff is directly attached to, at least, the pre-formed pneumatic portcomponent, pre-formed electrical port component during an over-mouldingprocedure.

19c. The tube as recited in any one of paragraphs 1c to 18c, wherein thecuff is formed from or by a single-step over-moulding procedure.

20c. The tube as recited in any one of paragraphs 1c to 19c, wherein thepre-formed pneumatic port component provides for pneumatic connectionwith the at least one end of the passageway.

21c. The tube as recited in any one of paragraphs 1c to 20c, wherein thepre-formed pneumatic port component is substantially axially alignedwith the tube passageway and/or wherein the pre-formed pneumatic portcomponent is substantially aligned with the tube passageway such thatpneumatic connection between the pre-formed pneumatic port component andthe passageway is provided.

22c. The tube as recited in any one of paragraphs 1c to 21c, wherein thecuff is formed of a material having a lower relative melting point thanthat of, at least, the pneumatic port component, electrical portcomponent, and passageway.

23c. The tube as recited in any one of paragraphs 1c to 22c, wherein thecuff is formed of a material that is relatively more pliable that thatof, at least, the pneumatic port component, electrical port component,and passageway.

24c. The tube as recited in any one of paragraphs 1c to 23c, wherein theinterior of the passageway is of a smooth linear surface.

25c. The tube as recited in any one of paragraphs 1c to 24c, wherein theinterior of the passageway is devoid of corrugations, convolutions orundulations.

26c. The tube as recited in any one of paragraphs 1c to 23c, wherein thewall is of a corrugated form.

27c. The tube as recited in any one of paragraphs 1c to 26c, wherein theinterior surface of the passageway is mechanically and/or chemicallycleanable, and/or surfaces in contact with the gas is mechanicallyand/or chemically cleanable.

28c. The tube as recited in any one of paragraphs 1c to 27c, wherein thetube is a reusable medical tube.

1-44. (canceled)
 45. A medical tube, comprising: a tube wall defining apassageway for transportation of gas, the tube wall having a first endand a second end, the passageway providing for fluid communicationbetween the first end and the second end; wherein at least one of thefirst end and the second end of the medical tube comprises a cuffover-moulded about and attaching together at least one first pre-formedcomponent, at least one second pre-formed component, and at least aportion of the at least one of the first end and the second end, suchthat, in use, the at least one first pre-formed component is in fluidcommunication with the passageway, the at least one first pre-formedcomponent configured for fluid connection with at least one furthercomponent of a breathing circuit, and the at least one second pre-formedcomponent comprising a port that is configured to receive an auxiliarymedical tube appliance; and wherein the at least one second pre-formedcomponent comprises a first part including the port and a second partconfigured to cover at least a portion of a rear surface of the firstpart.
 46. The medical tube of claim 45, wherein an electrical connectionbetween one or more electrical terminals of the port and one or moreelectrical wires carried by the medical tube for connection with anauxiliary medical tube appliance is located adjacent the rear surface.47. The medical tube of claim 45, wherein the port is an electricalport, and wherein at least one of the first part and the second partcomprises a recess or pathway for one or more heater wires and/or one ormore sensor wires carried by the medical tube and extending from themedical tube at least partially across the rear surface for electricalconnection to electrical terminals of the electrical port.
 48. Themedical tube of claim 45, wherein one of the first part and the secondpart comprises one or more protrusions and the other of the first partand the second part comprises one or more complimentary recesses, whichallows the first part and the second part to be retained together. 49.The medical tube of claim 48, wherein the first part and the second partfit together in a snap-fit or a friction-fit configuration.
 50. Themedical tube of claim 45, wherein the first part and the second part areprovided with a folding region or a thinned region capable of folding orbeing folded, such that the first part and the second part are providedas a single part, and the first and second parts are fitted together.51. The medical tube claim 45, wherein the at least one secondpre-formed component comprises a latching arrangement comprising aprotrusion and a complementary receptacle for the protrusion forretaining the first part and the second part in a folded arrangement.52. The medical tube of claim 45, wherein the second pre-formedcomponent provides a housing or encasing for electrical connectionsbetween electrical terminals and electrical components carried by themedical tube.
 53. The medical tube of claim 45, wherein the port is anelectrical port that comprises electrical terminals for electricalconnection to one or more heater wires associated with the medical tube.54. The medical tube of claim 45, wherein the port is a sensor port thatcomprises terminals for connection to one or more sensor wiresassociated with the medical tube.
 55. The medical tube of claim 45,wherein a part of the at least one of the first end and the second endto which the second pre-formed component is attached is one or more of:a bead, a rib, a portion of a tube wall.
 56. The medical tube of claim45, wherein the at least one first pre-formed component comprises apneumatic port, the pneumatic port providing for pneumatic connectionwith the passageway.
 57. The medical tube of claim 45, wherein thesecond pre-formed component comprises at least one locator extendingfrom the component for attachment to at least a part of the at least oneof the first end and the second end.
 58. The medical tube of claim 57,wherein each of the at least one locators is attachable to a section orsections of the tube wall or to the at least one of the first end andthe second end.
 59. The medical tube of claim 57, wherein the at leastone locator comprises a clip.
 60. The medical tube of claim 57, whereinthe at least one locator comprises the port and an electrical connectorfor electrically coupling an electrical supply with one or moreelectrically powered heaters associated with the passageway.
 61. Themedical tube of claim 45, wherein the port is configured to connect toan electrical supply for one or more electrically powered heatersassociated with the passageway of the medical tube.
 62. The medical tubeof claim 45, wherein the port is fluidly sealed from communication withthe passageway.
 63. The medical tube of claim 45, wherein the port isconfigured for providing an electrical connection to the one or moreelectrically powered heaters, and wherein the one or more electricallypowered heaters are located substantially within the passageway, orsubstantially within a wall of the passageway, or substantially about anexterior surface of the passageway.
 64. The medical tube of claim 63,wherein the one or more electrically powered heaters are a heater sourcefor gas passing through the passageway.
 65. The medical tube of claim63, wherein each of the one or more electrically powered heaterscomprise one or more heater wires.
 66. The medical tube of claim 45,wherein the over-moulded cuff forms a pneumatic seal about the at leastone of the first end and the second end and between the at least onefirst pre-formed component and the at least one second pre-formedcomponent whilst maintaining fluid connection between the at least onefirst pre-formed component and the at least one of the first end and thesecond end of the medical tube and passageway therein.
 67. The medicaltube of claim 45, wherein the cuff is formed by a single over-mouldingprocedure.
 68. The medical tube of claim 45, wherein the cuff isdirectly attached during an over-moulding operation to an exteriorsurface of the at least one of the first end and the second end of themedical tube.
 69. The medical tube of claim 45, wherein the cuff isdirectly attached to the at least one first pre-formed component and theat least one second pre-formed component during an over-mouldingoperation.
 70. The medical tube of claim 45, wherein at least a portionof the at least one second pre-formed component attaches to the medicaltube by retention of a part of the at least one of the first end and thesecond end with the at least one second pre-formed component.
 71. Themedical tube of claim 45, wherein the port is a sensor port.
 72. Themedical tube of claim 45, wherein the port is an electrical port, andwherein the at least one second pre-formed component comprises a sensorport.